{extend name="form" /}

{block name="main"}

<div class="p-3">
	<form class="row g-3">
		<div class="col-md-6">
			<label for="inputEmail4" class="form-label">姓名</label>
			<input type="email" class="form-control" id="inputEmail4">
		</div>
		<div class="col-md-6">
			<label for="inputPassword4" class="form-label">手机号</label>
			<input type="password" class="form-control" id="inputPassword4">
		</div>
		<div class="col-12">
			<label for="inputAddress" class="form-label">会员组</label>
			<select id="inputState" class="form-select">
				<option selected>Choose...</option>
				<option>...</option>
			</select>
		</div>

		<div class="col-12">
			<button type="submit" class="btn btn-primary">确定</button>
		</div>
	</form>
</div>
{/block}